{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"N  YENTIHWSWEHTTAM ","gend":1,"add":"GNIK 1191A TPA TS ","city":"PORTSMOUTH","state":"VA","zip":23704,"dob":"1988-09-04","age":"","mstatus":"","insh":"8893210*99","cliId":"","pno":"35\/7578801-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23704,"pcpcounty":"","pcpid":"","pcpname":"Hampton Roads Community Health Center","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F14.10","F14.20","F11.21","F90.0","F31.9","F12.20","R10.9","R58.","O20.0","O99.331","F17.210","O24.119","Z3A.01","Z79.3","R10.30","F32.9","Z20.822","F31.5","Z68.26","F11.20","F10.20"],"date":["2022-11-20","2022-08-07","2022-08-26","2022-08-26","2022-01-09","2022-10-16","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2022-09-17","2021-07-19","2021-12-03","2022-10-16","2022-10-16","2022-10-16","2022-08-07"],"priorHcc":["","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}